BAGAIMANA ALUR BERKAS REKAM MEDIS? (FILLING)

Summary

This video outlines the detailed process of managing medical records, from patient registration and clinic visits to final filing. The steps include analyzing patient data, coding diagnoses, and organizing records using the Terminal Digit Filing System. Medical records are then distributed based on a unique patient number system. The process ensures that both inpatient and outpatient records are accurately documented, easily retrievable, and securely filed for future use. The video emphasizes organization and systematic filing to maintain efficient medical record management.

Takeaways

• 😀 The first step is patient registration, which is followed by laser printing of documents and referral to a clinic.
• 😀 After the clinic visit, patients are discharged and the next step involves assembling medical records for inpatient and outpatient care.
• 😀 The process includes both qualitative and quantitative data analysis of the medical records.
• 😀 Diagnosis coding is performed to accurately categorize the medical data.
• 😀 All inpatient and outpatient records are combined into one folder for easy access and storage.
• 😀 A 'threser' is used to store the medical records, which are then retrieved as needed.
• 😀 After retrieving the records, they are distributed appropriately for further use.
• 😀 The records are numbered using a unit number system, which remains consistent across all patient visits.
• 😀 A terminal digit filing system is used for the organization of medical records, based on the last digit of the record number.
• 😀 Once all records are analyzed and coded, they are placed in the proper storage folder using the terminal digit filing system.
• 😀 The process ends by ensuring all records are placed back in their respective storage places and the 'threser' is returned.

Q & A

What is the first step in the medical record process?

The first step is patient registration.

What happens after the patient is registered?

After registration, laser printing is done, and the patient is sent to the clinic where they may be discharged.

What is the next step after the patient is discharged from the clinic?

The next step is assembling, where both inpatient and outpatient records are handled.

What does the analysis of the data involve?

The analysis includes both qualitative and quantitative data analysis.

What comes after data analysis?

After the analysis, diagnosis coding is performed.

How are medical records organized for easy access?

All outpatient and inpatient records are consolidated into a single folder and stored in one place for easy retrieval.

What is the role of the 'thresher' in the medical record process?

The thresher is used to temporarily hold the records in place before distribution and retrieval.

What system is used to assign numbers to the records?

The unit number system is used, where each patient is given a unique number upon their first visit, which is then used for subsequent visits.

What is Terminal Digit Filing?

Terminal Digit Filing is a system where the records are organized using the last digit of the patient's number, which helps in systematic file organization.

What happens during the 'failing' process?

During failing, the records are placed back into their designated positions after being coded and analyzed.